Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HCA FLORIDA NORTHWEST HOSPITAL

FL · Facility ID 100189 · FY2026

Total HAC Score

-0.3639

Percentile

28.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3639

Hospital score -0.3639. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.769
  • CLABSIz -0.578
  • CAUTIz -0.743
  • SSIz 0.330
  • CDIz -0.761
  • MRSAz 0.338

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.7691-0.48290.18290.6657
CAUTI-0.7425-0.45980.15760.6175
MRSA0.3380-0.6631-0.04930.6137
CDI-0.7613-0.48060.12860.6092
CLABSI-0.5783-0.50190.10590.6078
SSI0.3302-0.6616-0.05690.6047

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within FL (165 scored): 41.5th

Score distributionThreshold 0.3792Hospital -0.3639

Hospital score -0.3639. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 23.1th

Score distributionThreshold 0.3792Hospital -0.3639

Hospital score -0.3639. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3639; threshold 0.3792).

Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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